Auszug
Die fachgerechte Versorgung von Verletzungen der Haut und Unterhaut bei Kindern und Jugendlichen ist eine der häufigsten Aufgaben in der kinderchirurgischen Ambulanz. Platz-, Quetsch- und Schürfwunden sowie Schnittverletzungen oder eingebrachte Fremdkörper erfordern auch bei offensichtlicher Harmlosigkeit stets eine gründlichste Exploration in adäquater Analgesie bis hin zur Narkose, um tieferreichende Verletzungen mit Läsionen von Sehen, Nerven und Gefäßen zu detektieren oder nach Bisswunden eine Wundreinigung und eine fach gerechte sowie kosmetisch optimierte Versorgung insbesondere bei Verletzungen im Gesichtsbereich zu gewährleisten. Diese Versorgung beinhaltet funktionelle Untersuchungsmethoden, adaptierte Techniken zum Wundverschluss bis hin zum prophylaktischen bzw. therapeutischen Einsatz von Antibiotika.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Akhtar N, Smith MJ, et al. (2006) Surgical delay in the management of dog bite injuries in children, does it increase the risk of infection? J Plast Reconstr Aesthet Surg 59(1):80–5
Al-Abdullah T, Plint AC, et al. (2007) Absorbable versus nonabsorbable sutures in the management of traumatic lacerations and surgical wounds: a meta-analysis. Pediatr Emerg Care 23(5):339–44
Black J, Dinman S (1996) Dogbites in children. Plast Surg Nurs 16(2):87–9
Brown, D. J., J. E. Jaffe, et al. (2007) Advanced laceration management. Emerg Med Clin North Am 25(1):83–99
Evans R, Jones J (2006) Best evidence topic report. Absorbable sutures in paediatric lacerations. Emerg Med J 23(1):64–5
Gaufberg SV, Walta MJ, et al. (2007) Expanding the use of topical anesthesia in wound management: sequential layered application of topical lidocaine with epinephrine. Am J Emerg Med 25(4):379–84
Gawenda M (1996) Therapeutische Sofortmaßnahmen und Behandlungsstrategien bei Bissverletzungen. Dt. Ärztebl 93:A-2776–A-2780
Gonzalez MH, Papierski P, et al. (1993) Osteomyelitis of the hand after a human bite. J Hand Surg [Am] 18(3):520–2
Hogg NJ, Horswell BB (2006) Soft tissue pediatric facial trauma: a review. J Can Dent Assoc 72(6):549–52
Islam S, Ansell M, et al. (2006) A prospective study into the demographics and treatment of paediatric facial lacerations. Pediatr Surg Int 22(10):797–802
Karounis H, Gouin S, et al. (2004) A randomized, controlled trial comparing long-term cosmetic outcomes of traumatic pediatric lacerations repaired with absorbable plain gut versus nonabsorbable nylon sutures. Acad Merg Med 11(7):730–5
Kunert P, Flory PJ, et al. (1988) Indications for primary wound closure in bite injuries of the face. Handchir Mikrochir Plast Chir 20(2):66–72
Lackmann GM, Draf W, et al. (1992) Surgical treatment of facial dog bite injuries in children. J Craniom axillofac Surg 20(2):81–6
Lackmann GM, Isselstein G, et al. (1990) Facial injuries caused by dog bites in childhood. Clinical staging, therapy and prevention. Monatsschr Kinderheilkd 138(11):742–8
McHeik JN, Vergnes P, et al. (2000) Treatment of facial dog bite injuries in children: a retrospective study. J Pediatr Surg 35(4):580–3
Mendelson KG, Fallat ME (2007) Pediatric injuries: prevention to resolution. Surg Clin North Am 87(1):207–28, viii
Mennen U, Howells CJ (1991) Human fight-bite injuries of the hand. A study of 100 cases within 18 months. J Hand Surg [Br] 16(4):431–5
Philipsen TE, Molderez C, et al. (2006) Cat and dog bites. What to do? Guidelines for the treatment of cat and dog bites in humans. Acta Chir Belg 106(6):692–5
Provencher MT, Allen LR, et al. (2006) The underestimation of a glass injury to the hand. Am J Orthop 35(2):91–4
Quinn J, Wells G, et al. (1998) Tissue adhesive versus suture wound repair at 1 year: randomized clinical trial correlating early, 3-month, and 1-year cosmetic outcome. Ann Emerg Med 32(6):645–9
Rothe M, Rudy T, et al. (2002) Treatment of bites to the hand and wristis the primary antibiotic prophylaxis necessary? Handchir Mikrochir Plast Chir 34(1):22–9
Rupprecht CE, Hanlon CA, et al. (2002) Rabies re-examined. Lancet Infect Dis 2(6):327–43
Singer AJ, Gulla J, et al. (2005) Single-layer versus double-layer closure of facial lacerations: a randomized controlled trial. Plast Reconstr Surg 116(2):363–8; discussion 369–70
Sinha M, Christopher NC, et al. (2006) Evaluation of nonpharmacologic methods of pain and anxiety management for laceration repair in the pediatric emergency department. Pediatrics 117(4):1162–8
Stefanopoulos PK, Tarantzopoulou AD (2005) Facial bite wounds: management update. Int J Oral Maxillofac Surg 34(5):464–72
Stockheim J, Wilkinson N, et al. (2005) Human bites and blood exposures in New York City schools. Clin Pediatr (Phila) 44(8):699–703
Toriumi DM, O’Grady K, et al. (1998) Use of octyl-2-cyanoacrylate for skin closure in facial plastic surgery. Plast Reconstr Surg 102(6): 2209–19
Yaqub S, Bjornholt JV, et al. (2004) Bite wound infections. Tidsskr Nor Laegeforen 124(24):3194–6
Zempsky WT, Zehrer CL, et al. (2005) Economic comparison of methods of wound closure: wound closure strips vs. sutures and wound adhesives. Int Wound J 2(3):272–81
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer Medizin Verlag Heidelberg
About this chapter
Cite this chapter
Boehm, R. (2009). Wundversorgung und Bisswunden. In: Kinderchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-89032-4_16
Download citation
DOI: https://doi.org/10.1007/978-3-540-89032-4_16
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-89031-7
Online ISBN: 978-3-540-89032-4
eBook Packages: Medicine (German Language)